Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Predictors of Intention to Quit Smoking in Elderly Smokers following a Stroke

뇌졸중 흡연노인의 금연의도 예측요인

  • Received : 2013.10.26
  • Accepted : 2014.02.27
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to identify factors based on the theory of planned behavior that predict smoking cessation in elderly smokers following a stroke. Method: Between March and May 2013, data related to intention, attitude toward the behavior, subjective norm, and perceived behavioral control, were collected through questionnaire from 223 elders who smoked and who had a stroke. Data analysis was performed using PASW (SPSS) 18.0 program, and included t-test, one-way ANOVA, Pearson correlation coefficients, and multiple stepwise liner regression analysis. Results: Results showed a positive correlation between intention and attitude toward the behavior (r=.494, p<.001), subjective norm (r=.390, p<.001), and perceived behavioral control (r=.189, p=.005). These variables such as perceived behavior control, subjective norm, number of cigarettes per day, and usefulness of quitting smoking explained 50% of intention to quit smoking. Conclusion: The results of this study indicate that there is a need to develop smoking cessation nursing strategies for elderly smokers following a stroke in order to provide effective counseling on subjective norm and perceived behavioral control.

Keywords

References

  1. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  2. Augustson, E. M., & Marcus, S. E. (2004). Use of the current population survey to characterize subpopulations of continued smokers: A national perspective on the “hardcore” smoker phenomenon. Nicotine and Tobacco Research, 6, 621-629. https://doi.org/10.1080/14622200410001727876
  3. Bae, J. H. (2011). Intention of smoking cessation and its related factors in stroke patients. Unpublished master's thesis, Kyungpook National University, Daegu.
  4. Barbeau, E. M., Krieger, N., & Soobader, M. J. (2004). Working class matters: Socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000. American Journal of Public Health, 94, 269-278. https://doi.org/10.2105/AJPH.94.2.269
  5. Cho, K. S. (2013). Prevalence of hardcore smoking and its associated factors in Korea. Health and Social Welfare Review, 33(1), 603-628. https://doi.org/10.15709/hswr.2013.33.1.603
  6. Clinical Research Center for Stroke. (2009). Clinical practice guidelines for stroke. Seoul: Clinical Research Center for Stroke.
  7. Erdfelder, E., Faul, F., & Buchner, A. (1996). G Power: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1-11. https://doi.org/10.3758/BF03203630
  8. Jee, Y. O. (1994). Testing the theory of planned behavior in the prediction of smoking cessation behavior among military smokers. Unpublished doctoral dissertation, Yonsei university, Seoul.
  9. Jorgensen, H. S., Nakayama, H., Reith, J., Raaschou, H. O., & Olsen, T. S. (1997). Stroke recurrence: Predictors, severity, and prognosis. The Copenhagen Stroke Study. Neurology, 48, 891-895. https://doi.org/10.1212/WNL.48.4.891
  10. Kaleta, D., Korytkowski, P., Makowiec-Dabrowska, T., Usidame, B., Bak-Romaniszyn., & Fronczak, A. (2012). Predictors of long-term smoking cessation: Results from the global adult tobacco survey in Poland (2009-2010). BMC Public Health, 12, 1471-2458.
  11. Kelly, T. N., Gu, D., Chen, J., Huang J. F., Chen, J. C., Duan, X., et al. (2008). Cigarette smoking and risk of stroke in the chinese adult population. Journal of the American Heart Association, 39, 1688-1693.
  12. Kim, E. K., Kim, M. J., & Song, M. R. (2002). Predictors of intention to quit smoking among patient with coronary heart disease. Journal of Korean Academy of Nursing, 32, 355-363. https://doi.org/10.4040/jkan.2002.32.3.355
  13. Kim, H. J., & Kim, O. S (2013). The lifestyle modification coaching program for secondary stroke prevention. Journal of Korean Academy of Nursing, 43, 331-340. https://doi.org/10.4040/jkan.2013.43.3.331
  14. Kim, J. S., Yu, J. O., & Kim, M. S. (2012). Factors contributing to the intention to quit smoking in community-dwelling elderly smokers. Journal of Korean Academy Community Health Nursing, 23, 358-365. https://doi.org/10.12799/jkachn.2012.23.4.358
  15. Kim, S. O. (2009). Predictive factors of tobacco cessation behavior. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18, 231-239.
  16. Kim, S. Y. (2009). Effects of the secondary stroke prevention program on acute stroke patients. Unpublished master's thesis, Chonbuk National University, Chonbuk.
  17. Kim, T. W. (2002). A study on the analysis of factors affecting behavior and intention to quit smoking in the military smokers. Unpublished master's thesis, Yonsei university, Seoul.
  18. Korea Centers for Disease Control and Prevention. (2007). In-depth analyses of the third national health and Nutrition Examination Survey: The health interview and health attitude survey part. Seoul: Government Printing Office.
  19. Korea Institute for Health and Social Affairs. (2006). Development of health care system for the elderly with medical expenditure analysis. Seoul: Government Printing Office.
  20. Korea National Statistical Office. (2013). Annual report on the causes of death statistics (Issue Brief No. 11-1240000-000028-10). Seoul: Korean Statistics Office.
  21. Rise, J., Kovac, V., Kraft, P., & Moan, I. S. (2008). Predicting the intention to quit smoking and quitting behaviour: Extending the theory of planned behaviour. British Journal of Health Psychology, 13, 291-301. https://doi.org/10.1348/135910707X187245
  22. Ryu, S. Y., Shin, J. H., Kang, M. G., & Park, J. (2011). Factors associated with intention to quit smoking among male smokers in 13 communities in Honam region of Korea: 2010 community health survey. Korean Journal of Health Education and Promotion, 28(2), 75-85.
  23. Schofield, I., Kerr, S., & Tolson, D. (2007). An exploration of the smoking-related health beliefs of older people with chronic obstructive pulmonary disease. Journal of Clinical Nursing, 16, 1726-1735. https://doi.org/10.1111/j.1365-2702.2007.01701.x
  24. Son, G. Y. (2010). Analysis of influencing factors on elderly smoker's smoking-cessation intention based on theory of planned behavior. Unpublished master's thesis, Keimyung University, Daegu.
  25. Song, M. R., & Kim, S. L. (2002). Testing of theory of planned behavior in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers. Journal of Korean Academy of Community Health Nursing, 13, 456-470.
  26. World Health Organization. (2011, May). The top 10 causes of death: The 10 leading causes of death in the world, 2000 and 2011. Retrieved July, 2013, from the World Health Organization Web site: http://www.who.int/mediacentre/factsheets/fs310/en/
  27. Yeon, J. W., Kim, H. S., Lee, K. S., Chang, S. H., Choi, H. J., & Ham, E. M. et al. (2012). Factors Affecting Preparation Stage to Quit Smoking in Men, Journal of Korean Academy Nursing, 42, 377-384. https://doi.org/10.4040/jkan.2012.42.3.377
  28. Yong, H. H., Borland, R., & Siahpush, M. (2005). Quitting-related beliefs, intentions, andmotivations of older smokers in four countries: Findings from the international tobacco control policy evaluation survey. Addictive Behaviors, 30, 777-788. https://doi.org/10.1016/j.addbeh.2004.08.023

Cited by

  1. Factors Affecting Smoking Cessation Intention of Female Workers: Using Community Health Survey, 2014 vol.25, pp.4, 2016, https://doi.org/10.5807/kjohn.2016.25.4.352
  2. 교육상담 기반 심장재활 프로그램이 노인 관상동맥질환자의 심혈관 위험도, 건강행위 및 삶의 질에 미치는 효과 vol.15, pp.6, 2015, https://doi.org/10.5392/jkca.2015.15.06.303